. 2020 May 9;36(4):825–837. doi: 10.1007/s00467-020-04579-3

Table 2.

Paediatric definition of metabolic syndrome according to the International Diabetes Federation [31]

Age (years)	Criteria
< 10	Cannot be diagnosed but further investigations should be done if positive family history towards type 2 diabetes mellitus, cardiovascular disease, and dyslipidaemia
10–< 16	Obligatory criterion: waist circumference ≥ 90 cc or adult cutoff if lower plus 2 or more of the following criteria: Triglycerides ≥ 150 mg/dl HDL cholesterol < 40 mg/dl SBP ≥ 130 and/or DBP ≥ 85 mmHg and/or antihypertensive treatment Fasting glucose ≥ 100 mg/dl or T2DM
≥ 16	Adult criteria: Obligatory criterion: waist circumference ≥ 94 cm for men and ≥ 80 cm for women, plus 2 or more of the following criteria: HDL cholesterol < 40 mg/dl in males and < 50 mg/dl in females Triglycerides ≥ 150 mg/dl SBP ≥ 130 and/or DBP ≥ 85 mmHg, or antihypertensive treatment Fasting glucose ≥ 100 mg/dl or T2DM

Age (years)

Criteria

< 10

Cannot be diagnosed but further investigations should be done if positive family history towards type 2 diabetes mellitus, cardiovascular disease, and dyslipidaemia

10–< 16

Obligatory criterion: waist circumference ≥ 90 cc or adult cutoff if lower plus 2 or more of the following criteria:

Triglycerides ≥ 150 mg/dl

HDL cholesterol < 40 mg/dl

SBP ≥ 130 and/or DBP ≥ 85 mmHg and/or antihypertensive treatment

Fasting glucose ≥ 100 mg/dl or T2DM

≥ 16

Adult criteria:

Obligatory criterion: waist circumference ≥ 94 cm for men and ≥ 80 cm for women, plus 2 or more of the following criteria:

HDL cholesterol < 40 mg/dl in males and < 50 mg/dl in females

Triglycerides ≥ 150 mg/dl

SBP ≥ 130 and/or DBP ≥ 85 mmHg, or antihypertensive treatment

Fasting glucose ≥ 100 mg/dl or T2DM